Provider Demographics
NPI:1033668777
Name:STEP WITH ME PHYSICAL THERAPY
Entity Type:Organization
Organization Name:STEP WITH ME PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LANTRIP
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:270-929-9396
Mailing Address - Street 1:6511 SPRING HAVEN TRCE
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-8026
Mailing Address - Country:US
Mailing Address - Phone:270-929-9396
Mailing Address - Fax:
Practice Address - Street 1:6511 SPRING HAVEN TRCE
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-8026
Practice Address - Country:US
Practice Address - Phone:270-929-9396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY006052252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency